E-9 Worksheet 2015 Annual Survey of Public Employment & Payroll March

U.S. DEPARTMENT OF COMMERCE

Attachment 1

Economics and Statistics Administration

U.S. CENSUS BUREAU
Worksheet

E-9

2016 ANNUAL
SURVEY OF PUBLIC EMPLOYMENT & PAYROLL
March 2016 – Police Protection Agencies
OMB No. 0607-0452: Approval Expires 11/30/2018

(12-30-2015) Draft 3

DUE DATE:
DO NOT use this worksheet to respond to the survey, it is intended to assist you
with gathering and preparing your data prior to reporting online.

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U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001

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GENERAL INSTRUCTIONS

1 Is the addressee title/department and mailing address the same as shown in the address label?
Mark "X" only one box.
Yes – Go to 2

No – Enter correct information below

§4*]0¤

Addressee Title or Department

ATTN:
Street 1

Street 2

City

State

Zip Code

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WORKSHEET

Page 2
PART 1 – FULL-TIME EMPLOYEES STANDARD WEEKLY HOURS

2 Approximately how many hours per week do the majority of the full-time employees work?

Exclude
• Employees on unpaid leave, unpaid officials, pensioners, and contractors and their employees
Mark "X" only one box.
A

40 hours

C

34 to 37.4 hours

E

30 to 31.9 hours

B

37.5 to 39.9 hours

D

32 to 33.9 hours

F

No Full-Time Employees

PART 2 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS

HOW TO
REPORT
DOLLAR
FIGURES

CORRECT marking example –
Please print all information clearly in ordinary
characters. (Use care to keep characters in their
respective boxes.)
$Bil.

Mil.

Thou.

Dol.

1 2 3

4 5 6

7 8 0

INCORRECT marking example –
Do not put slashes through "0" or "7".
$Bil.

Mil.

Thou.

Dol.

7

8 9 0

3 For each applicable pay period that includes March 12, 2016, what were the TOTAL number of
employees and TOTAL gross payroll amounts for both full-time and part-time employees? Please also
report the number of part-time hours paid for each applicable pay period with part-time employees.

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Include
• Persons paid to work the number of hours that represents regular, full-time employment
• Temporary or seasonal employees who are working the number of hours that represents regular, full-time
employment

Payroll Codes
W = Weekly;

EXAMPLE

B = Bi-Weekly;

T = Twice a Month;

M = Monthly;

Q = Quarterly;

S = Semi-Annually;

A = Annually

E

If all full-time employees are paid bi-weekly, please provide the one bi-weekly payroll that includes March 12, 2016.
a. Full-time employees and gross payroll

B

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

1 5 6

2 9 5

M

P

9 3 2

L

If some part-time employees are paid bi-weekly and some part-time employees are paid monthly; please provide the data for
the bi-weekly payroll that includes March 12, 2016 for the employees paid bi-weekly and the monthly data for the month of
March for the employees paid monthly.

A

§4*]8¤

b. Part-time employees, gross payroll, and hours

E-9

➥

Part-time
Number of
Payroll
Part-time Employees
Code

B
M

1

E

X

$Bil.

Gross Payroll for Part-time Employees
Mil.
Thou.
Dol.

Part-time Hours Paid

0 3

6 3

0 7 7

2 2 5 2

4 1

5 5

5 9 0

1

9 8 5

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➥

Full-time
Number of
Payroll
Full-time Employees
Code

Page 3
PART 2 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS – (Continued)

W = Weekly;

A.

B = Bi-Weekly;

T = Twice a Month;

Payroll Codes
M = Monthly;
Q = Quarterly;

S = Semi-Annually;

A = Annually

a. Persons with power of arrest 062
Include
• Police employees only
Exclude
• Other employees with power of arrest

§4*]@¤

(1) Full-time employees and gross payroll

E-9

Number of
Full-time Employees

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

(2) Part-time employees, gross payroll, and hours
Part-time
Payroll
Code

Number of
Part-time Employees

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

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STATE GOVERNMENT AGENCIES
To be completed by state government law enforcement agencies only.
1. Police protection
Include
• Police department, law enforcement and lock-up employees
• Employees performing activities of sheriff’s and constable’s offices
Exclude
• Sheriff’s correction employees

Full-time
Payroll
Code

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If more than two payroll codes need to be reported, please fill out this survey online. To continue filling
it out on paper, photocopy the pages where you need to record more than two payroll codes, use the
copies to fill out the additional information, and return them with the form.
Include
Employees
• Current employees in paid leave status whether paid from the general, special, or Federal grant funds
• All elected or appointed officials paid any amount of pay or stipend (even small amounts of $25 per
meeting or $100 annually) or paid on salary basis; by fees or commissions; on a per meeting basis; or a flat
sum quarterly, semi-annually, or annually
• Temporary or seasonal employees working the number of hours that represent full-time employment should
be reported as full-time employees
• Temporary or seasonal employees working less than the regular, full-time workweek should be reported as
part-time employees
Payroll
• Salaries, wages, fees or commissions, as well as overtime, premium, and night differential pay
• Bonuses and incentive payments that are paid at regular pay periods
• Amounts withheld for taxes, employee contributions to retirement systems, etc.
Hours
• An estimate of hours worked during the pay period for part-time employees, not compensation on an hourly
basis
Exclude
Employees
• Employees on unpaid leave, unpaid officials, pensioners, and contractors and their employees
• School system employees and payrolls
Payroll
• Lump sum payments and the value of living quarters and subsistence allowances furnished to
employees
Do not report
• Cumulative salaries since the beginning of the calendar or fiscal year
• Payroll amounts from last fiscal year
• Employer costs of non-wage employee benefits such as workers’ compensation, FICA, health insurance, etc.

Page 4
PART 2 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS – (Continued)

W = Weekly;

B = Bi-Weekly;

Payroll Codes
M = Monthly;
Q = Quarterly;

T = Twice a Month;

b. Other police protection employees

S = Semi-Annually;

A = Annually

162

(1) Full-time employees and gross payroll
Full-time
Payroll
Code

Number of
Full-time Employees

Gross Payroll for Full-time Employees
Mil.
Thou.
Dol.
$Bil.

(2) Part-time employees, gross payroll, and hours
Part-time
Payroll
Code

Number of
Part-time Employees

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

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Include
• All police protection employees not reported in item 1a.
• Coroners and crime lab employees
• School crossing guards (should be reported as part-time employees)
• Police administrative staff

2. STATE GOVERNMENT AGENCIES TOTAL – (Sum of items 1a. through 1b.)
a. Full-time employees and gross payroll
Number of
Full-time Employees

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

§4*]R¤

b. Part-time employees, gross payroll, and hours

E-9

Part-time
Payroll
Code

Number of
Part-time Employees

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

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Full-time
Payroll
Code

Page 5
PART 2 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS – (Continued)

W = Weekly;

B.

B = Bi-Weekly;

T = Twice a Month;

Payroll Codes
M = Monthly;
Q = Quarterly;

S = Semi-Annually;

A = Annually

3.

Police protection
Include
• Police department, law enforcement and lock-up employees
• Employees performing activities of sheriff’s and constable’s offices
Exclude
• Sheriff’s correction employees (should be reported in item 4.)
a. Persons with power of arrest

062

Include
• Police employees only
Exclude
• Other employees with power of arrest (should be reported in item 4. and/or in item 5.)
(1) Full-time employees and gross payroll
Full-time
Payroll
Code

Number of
Full-time Employees

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

(2) Part-time employees, gross payroll, and hours
Part-time
Payroll
Code

Number of
Part-time Employees

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

162

Include
• All police protection employees not reported in item 3a.
• Coroners and crime lab employees
• School crossing guards (should be reported as part-time employees)
• Police administrative staff

§4*]Y¤

(1) Full-time employees and gross payroll

E-9

Full-time
Payroll
Code

Number of
Full-time Employees

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

(2) Part-time employees, gross payroll, and hours
Part-time
Payroll
Code

Number of
Part-time Employees

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

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b. Other police protection employees

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COUNTY AND OTHER LOCAL GOVERNMENT AGENCIES
To be completed by county sheriffs’ offices and other local government agencies only.

Page 6
PART 2 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS – (Continued)

W = Weekly;

4.

B = Bi-Weekly;

Corrections

T = Twice a Month;

Payroll Codes
M = Monthly;
Q = Quarterly;

S = Semi-Annually;

A = Annually

005

a. Full-time employees and gross payroll
Full-time
Payroll
Code

Number of
Full-time Employees

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

b. Part-time employees, gross payroll, and hours
Part-time
Payroll
Code

5.

Number of
Part-time Employees

Judicial and legal

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

025

a. Full-time employees and gross payroll

§4*]a¤
E-9

Number of
Full-time Employees

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

b. Part-time employees, gross payroll, and hours
Part-time
Payroll
Code

Number of
Part-time Employees

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

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Include
• Employees performing all court and court related activities, including court activities of sheriff’s
office (e.g., bailiffs, process servers)
• Prosecuting attorney’s and public defender’s offices employees
• Legal department employees and attorneys providing government-wide legal services
• Employees of law libraries
Exclude
• Employees performing probation activities (should be reported in item 4.)
• Private attorneys on retainer and court appointed attorneys
Full-time
Payroll
Code

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Include
• Employees of jails, reformatories, detention homes
• Employees performing probation and parole activities for both adults and juveniles
Exclude
• Lock-up employees (should be reported in item 3.)

Page 7
PART 2 – EMPLOYEES, PAYROLL, AND PART-TIME HOURS – (Continued)

W = Weekly;

6.

B = Bi-Weekly;

Tax and fee collection

T = Twice a Month;

Payroll Codes
M = Monthly;
Q = Quarterly;

S = Semi-Annually;

A = Annually

023

a. Full-time employees and gross payroll
Full-time
Payroll
Code

Number of
Full-time Employees

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

b. Part-time employees, gross payroll, and hours
Part-time
Payroll
Code

7.

Number of
Part-time Employees

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

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Include
• Employees of treasurer’s, auditor’s or comptroller’s office
• Tax assessment, tax billing and collection employees
• Budgeting and purchasing employees
• Employees of central accounting offices
• Information technology employees
• Similar financial administration employees

COUNTY AND OTHER LOCAL GOVERNMENT AGENCIES TOTAL – (Sum of items 3. through 6.)
a. Full-time employees and gross payroll

§4*]i¤
E-9

Number of
Full-time Employees

Gross Payroll for Full-time Employees
$Bil.
Mil.
Thou.
Dol.

b. Part-time employees, gross payroll, and hours
Part-time
Payroll
Code

Number of
Part-time Employees

Gross Payroll for Part-time Employees
$Bil.
Mil.
Thou.
Dol.

Part-time Hours Paid

Please continue on the next page

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Full-time
Payroll
Code

Page 8
PART 3 – REMARKS

4 Use this space for any explanations that may be essential in understanding the reported data.

5 Who should be contacted to answer questions about data reported on this worksheet?
Name of contact person - Please print

§4*]q¤

Area code and phone number

Email Address - Please print

Title of contact person - Please print

Extension

Area code and fax number

Date form was completed
(MM)
(DD)
(YYYY)

Thank you for completing this form.
Retain a copy of the completed questionnaire for your records.
NOTE: The U.S. Census Bureau receives its authorization to conduct this survey from Title 13, United States Code, Sections 161 and 182. This form has been approved by the Office of
Management and Budget (OMB) and given the number 0607-0452. Please note the number displayed in the upper right-hand corner of this form. Display of this number confirms that we
have approval from OMB to conduct this survey. If this number was not displayed, under the Paperwork Reduction Act, we could not request your participation in this voluntary survey.
Information provided on this questionnaire compiled from or customarily provided in public records are exempt from confidential treatment as cited in Title 13, United States Code,
Section 9(b).
Please note that this is a national form that applies to governments with wide differences in the size of their service areas, the amount of population served, and the extent and complexity
of their activities. Public reporting burden for this collection of information is estimated to vary from 10 minutes to 1½ hours per response, with an average of 30 minutes per response,
including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: ECON Survey Comments 0607-0452,
U.S. Census Bureau, 4600 Silver Hill Road, EMD-8K122, Washington, DC 20233. You may e-mail comments to ECON.Survey.Comments@census.gov; use ECON Survey Comments
0607-0452 as the subject.

E-9

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PART 4 – CONTACT INFORMATION

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Include
• Any significant changes to employment or payroll occurring within the last year
• Groups of employees for which you were unable to supply information
• A note if the majority of the full-time employees work more than 40 hours per week